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      {% if errors %}
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      <h2>Event Waiver & Release of Liability</h2>

      <p>I know that participating in any organized competitive event,
      regardless of distance or course conditions, includes an element
      of risk. I understand that I should not enter and participate in
      SF Mad Dash (hereinafter called the event) on October 27 2012
      unless I am medically able and properly trained. I agree to
      abide by any decision of an event official, relative to my
      ability to complete this event safely and further I agree that
      event officials may authorize the necessary emergency treatment
      for myself. I further assume any and all risks associated with
      the event including, but not limited to, illness, traveling to
      and from the event, falls, contact with spectators or other
      participants, the effects of the weather, the conditions of the
      course, and all such risks are understood and appreciated by
      myself.</p>

      <p>Having read this waiver and knowing these facts, and in
      consideration of the acceptance of my entry, I hereby for
      myself, my heirs, executors, administration or anybody else who
      might file on my behalf, covenant not to sue, and waive release
      and discharge all subsidiaries, affiliates, assigns,
      representatives and successors of the foregoing: the race
      director, event officials, volunteers and any and all sponsors,
      suppliers, agents, independent contractors, employees, and other
      personnel in any way assisting or contracted to this event from
      any and all claims or liability of any kind or nature whatsoever
      arising out of participation in this event, even though that
      liability may arise out of negligence or carelessness on the
      part of the persons or parties named in this waiver. I also
      understand and agree that any sponsor or event management may
      subsequently use, for publicity or promotional purposes, my name
      or picture of myself participating in this event without
      liability or obligation to myself.</p>
      <input type="hidden" name="version" value="1">

      <p><input type="checkbox" name="waiver" value="signed"> I agree to the above conditions.</p>

      <p>Age: <input type="text" name="age" size="3" maxlength="3"></p>

      <p>Gender: <input type="radio" name="gender" value="M"> Male 
	         <input type="radio" name="gender" value="F"> Female

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        height="46" width="180"></p>

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